Manager, Value Based Care Accounting

Value‑Based Care Accounting Execution

• Own accounting activities related to value‑based care, risk‑sharing, capitated, and managed care arrangements.
• Support the Director by executing consistent accounting treatment for VBC patient AR valuation, reserves, and revenue estimates.
• Maintain accurate accounting for Managed Service Agreements (MSAs) and other VBC‑related revenue streams.
• Reconcile VBC operational data (claims, payments, utilization) to financial results.

Month‑End Close & General Ledger

• Execute the full month‑end close for assigned VBC entities, contracts, and joint ventures.
• Prepare, review, and post journal entries, including accruals, estimates, reclasses, and adjustments.
• Maintain complete and timely balance sheet reconciliations for all VBC‑related accounts.
• Ensure close activities are completed on schedule with accurate, audit‑ready documentation.

IBNR, Estimates & Actuarial Coordination

• Own the accounting for IBNR and claims payable related to VBC arrangements.
• Coordinate, where applicable, directly with actuarial partners to provide clean data inputs and record actuarial outputs.
• Reconcile IBNR balances and ensure estimate methodologies are consistently applied and documented.
• Identify trends, variances, or emerging risks and escalate insights to the Director.

Systems, Data & Multi‑Entity Environment

• Perform accounting across multiple legal entities and ERP systems used for VBC operations.
• Maintain standardized workpapers, schedules, and close checklists supporting VBC accounting.
• Support data migrations, process improvements, and system enhancements related to VBC activity.

Reporting & Director Support

• Prepare monthly financial statements and variance analyses for VBC entities.
• Support the Director with financial reporting, ad hoc analysis, and management‑level explanations related to value‑based care.
• Serve as a key accounting liaison between VBC operations, actuarial, revenue cycle, and corporate finance.
• Assist with audit requests and documentation specific to value‑based care activities.

Process Discipline & Continuous Improvement

• Identify opportunities to improve close efficiency, data accuracy, and estimate reliability within VBC accounting.
• Help standardize accounting processes as VBC arrangements scale.
• Provide technical guidance and review support to other accounting staff as assigned, limited to VBC‑related work.

EDUCATION

• Bachelor’s degree in finance/accounting.
• CPA preferred.

EXPERIENCE.

• 6+ years of progressive accounting experience, including ownership of full month‑end close.
• Healthcare accounting experience required; managed care, risk, or value‑based care experience strongly preferred.
• Experience with IBNR, actuarial coordination, and accounting estimates. Multi‑entity, joint venture, or contract‑based accounting experience.

SKILLS

• Excellent leadership and communication skills, with a track record of mentoring teams and collaborating cross-functionally.
• Ability to navigate ambiguity and drive results in a fast-paced environment.
• Experience with ERP systems (e.g., SAP, Oracle, MD 365) and advanced proficiency in Microsoft Excel.
• Advanced Excel skills and comfort working with large, complex datasets.

ABILITIES

• Ability to delegate responsibility and authority to staff and work under multiple priorities.
• Ability to work creatively with management and department staff to achieve objectives.
• Ability to communicate effectively and clearly.

ENVIRONMENTAL WORKING CONDITIONS

• Normal office environment.

PHYSICAL/MENTAL DEMANDS

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.

ORGANIZATIONAL REQUIREMENTS

• HOPCo Mission, Vision, and Values must be read and signed.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.